#NephJC Transcript

Healthcare social media transcript of the #NephJC hashtag.
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OmarTaco MD, MSc @Errantnephron
RT @NephJC: The numbers: 183 Tweets. 34 Participants. 529,315 Impressions. September 26th 2017. More #NephJC 📊 here https://t.co/lnOTUr5y9E
Nephrology Jrnl Club @NephJC
Pruritus Systematic Review #VisualAbstract https://t.co/NQAcfo9U9t
Joel Topf, MD FACP @kidney_boy
RT @NephJC: Pruritus Systematic Review #VisualAbstract https://t.co/NQAcfo9U9t
Carlo Alfieri @carlo_alfieri
RT @NephJC: Pruritus Systematic Review #VisualAbstract https://t.co/NQAcfo9U9t
Penn Kidney @pennkidney
RT @NephJC: Pruritus Systematic Review #VisualAbstract https://t.co/NQAcfo9U9t
mohammad alsawah @mohammadalsawah
RT @NephJC: Pruritus Systematic Review #VisualAbstract https://t.co/NQAcfo9U9t
Kevin J. Fowler @gratefull080504
My manuscript: "Innovation in Chronic #Kidneydisease: The Need for the Patient Voice" has been accepted by @PatientJournal for pub. #nephJC
Teri Browne @TeriBrowne
Awesome! can't wait to read it! https://t.co/KjxFST0rgj
Kevin J. Fowler @gratefull080504
Thank you @ApplHealthEcon + @PatientJournal for the opportunity to have the patient voice heard about #KidneyDisease #nephJC
Kevin J. Fowler @gratefull080504
What about the wasted lives on #dialysis + premature death? Good grief! #nephJC https://t.co/CcIOa6rra5
Annabel Biruete 🇲🇽 @anniebelch
RT @NephJC: Pruritus Systematic Review #VisualAbstract https://t.co/NQAcfo9U9t
Swapnil Hiremath, MD, MPH @hswapnil
RT @NephJC: Pruritus Systematic Review #VisualAbstract https://t.co/NQAcfo9U9t
Gates Colbert, MD @DoctorGates
Almost #NephJC time to discuss Uremic Pruritus. Ready to do the Twitter take over.
Nathaniel Reisinger @nephrothaniel
RT @DoctorGates: Almost #NephJC time to discuss Uremic Pruritus. Ready to do the Twitter take over.
karthik ramani @happy_kidney
#nephjc lurking#nocoi#stillinclinic#ckdslayer
Cathy Quinlan @KidneyCathy
Cathy Quinlan. Paed neph in Melbourne. Not important enough for COI. Currently by the pool #nephjc https://t.co/gkRRzBZxPF
Nephrology Jrnl Club @NephJC
15 Minute warning for the next #NephJC at 9pm EST.
Swapnil Hiremath, MD, MPH @hswapnil
RT @DoctorGates: Almost #NephJC time to discuss Uremic Pruritus. Ready to do the Twitter take over.
Andrew M. Ibrahim MD @AndrewMIbrahim
RT @kidney_boy: #VisualAbstract Release candidate 2 for today's #NephJC on itching. 8pm BST and 9pm EST. https://t.co/jjJIUppVzQ
Anthony Provenzano @docpro89
RT @NephJC: What I take from the study is that w/the exception of gabapentin, the current evidence for all other treatments is weak #nephjc
Nephrology Jrnl Club @NephJC
5 minutes. In the meantime check out this great #VisualAbstract #nephjc https://t.co/ngV6TNPKjh https://t.co/XVfdkU5oW6
Swapnil Hiremath, MD, MPH @hswapnil
RT @NephJC: 5 minutes. In the meantime check out this great #VisualAbstract #nephjc https://t.co/ngV6TNPKjh https://t.co/XVfdkU5oW6
Jim Myers @kidneystories
RT @gratefull080504: Here is the #storify on the #ckd staging discussion on #nephJC Last night @FionaCLoud @nkf @KidneyPatients
Anthony Provenzano @docpro89
RT @KidneyBea_n: RT @kidney_boy: #VisualAbstract Release candidate 2 for today's #NephJC on itching. 8pm BST and 9pm EST. https://t.co/NaX3…
Annabel Biruete 🇲🇽 @anniebelch
RT @NephJC: 5 minutes. In the meantime check out this great #VisualAbstract #nephjc https://t.co/ngV6TNPKjh https://t.co/XVfdkU5oW6
Nephrology Jrnl Club @NephJC
ATTENTION ⏰: It's 9:00 EST, time to scratch that itch to join #NephJC in North America #nephjc https://t.co/mm2S9BM0Of
Joel Topf, MD FACP @kidney_boy
Waiting to pick up the daughter from dance class. Just board itching my head. #NephJC
Swapnil Hiremath, MD, MPH @hswapnil
RT @NephJC: ATTENTION ⏰: It's 9:00 EST, time to scratch that itch to join #NephJC in North America #nephjc https://t.co/mm2S9BM0Of
Nephrology Jrnl Club @NephJC
I’m Gates Colbert, MD @DoctorGates and I'm ready to get this chat rolling. I have no conflicts, but I do use a moisturizer PRN #NephJC
Swapnil Hiremath, MD, MPH @hswapnil
Swapnil Hiremath, nephrologist from @OttawaHospital Not sure how to treat pruritis No other CoI #nephjc https://t.co/yRfkeyEA7N
Nephrology Jrnl Club @NephJC
Please introduce yourself and declare any conflicts of interest #Nephjc
Annabel Biruete 🇲🇽 @anniebelch
Annabel Biruete, dietetic intern @BSUHealth and #NSMC intern, no COI #NephJC
BUY FOLLO₩ERS :gun @hoppenstedtmal1
RT @anniebelch: Annabel Biruete, dietetic intern @BSUHealth and #NSMC intern, no COI #NephJC
Nephrology Jrnl Club @NephJC
@hswapnil @OttawaHospital @jpeltzer @ottawacity Hey Swap - welcome as always! #nephjc
Nephrology Jrnl Club @NephJC
Remember to add #NephJC to every tweet you want to be part of the discussion and part of the recorded journal club.
Nephrology Jrnl Club @NephJC
@anniebelch @BSUHealth Annabel - a #NSMC all start. #NephJC
Swapnil Hiremath, MD, MPH @hswapnil
@NephJC @DoctorGates Nice summary Gates: https://t.co/HBbT2qSEew More than #280 :-) #envy #NephJC
Nephrology Jrnl Club @NephJC
#NephJC recommends using https://t.co/SEeRXFHE9J or TChat.io to follow the chat. See a how to guide here: https://t.co/5jPXTxjUUZ
Nephrology Jrnl Club @NephJC
RT @hswapnil: @NephJC @DoctorGates Nice summary Gates: https://t.co/HBbT2qSEew More than #280 :-) #envy #NephJC
Nephrology Jrnl Club @NephJC
Remember to sign up for the NephJC once a week (or less) newsletter and follow us on twitter. #NephJC https://t.co/5aumn8ImwF
Joel Topf, MD FACP @kidney_boy
I am PI on a uremic pruritus study. Not sure how to spell pruritis. #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
Hope one of the authors can make it: @blakelerner @NavTangri or @paulkomenda #NephJC
Joel Topf, MD FACP @kidney_boy
Do we have a topic zero? #nephjc
Nephrology Jrnl Club @NephJC
@kidney_boy Are you allowed to disclose your intervention? #NephJC
Navdeep Tangri @NavTangri
@hswapnil @blakelerner @paulkomenda I'm here, def for some of the discussion #nephjc
Navdeep Tangri @NavTangri
#NephJC No COI
Nephrology Jrnl Club @NephJC
@NavTangri @hswapnil @blakelerner @paulkomenda Welcome Navdeep! Glad you could make it twice today #NephJC
Roger Rodby @NephRodby
Roger Rodby, no COI, all itching puns used up already #NephJC
Joel Topf, MD FACP @kidney_boy
Nice. 2 Authors in the House! #nephjc
Nephrology Jrnl Club @NephJC
TO: What are your patients telling your about their itching symptoms? #nephjc
Joel Topf, MD FACP @kidney_boy
Her Roger, where did you guys go to dinner last night? Are there any good restaurants in Chicago? #nephjc
Nephrology Jrnl Club @NephJC
@NephRodby Welcome back Roger! #NephJC
The Lewises @Lewis_Lab
RT @NephJC: TO: What are your patients telling your about their itching symptoms? #nephjc
Joel Topf, MD FACP @kidney_boy
T0: it’s like gays in the military, don’t ask don’t tell. Very rarely do they bring it up. #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
T0: itching is a terrible nuisance for patients. Very common complaint. Hard to fix #NephJC
Hector Madariaga @HecmagsMD
Hello, everyone. Hector Madariaga. No COI. From #patriotsnation I’ll be lurking today. #babyduty #nephjc
Nephrology Jrnl Club @NephJC
A direct link to the article can be found HERE: https://t.co/YymzJGGLRg #nephjc
Tariq Shafi @drtariqshafi
Tariq Shafi. No COI #nephjc
Roger Rodby @NephRodby
@kidney_boy https://t.co/MXRSXtWVo6 #nephJc
Matt Sparks @Nephro_Sparks
Matt Sparks @DukeKidney in and out tonight Family in town. Concerned about my excessive tweeting #NephJC
Nephrology Jrnl Club @NephJC
Uremic pruritus is unique in that it does not exhibit a lesion prior to the itching sensation. #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
@kidney_boy Ha! You are epitomizing this: https://t.co/YMuK5NNBQo from @DOPPS & @heartofengland #NephJC
Joel Topf, MD FACP @kidney_boy
@Nephro_Sparks we all are concerned Matt, this isn’t #NephJC. It’s an intervention. Everyone tell Matt how his tweeting affects them #nephjc
Navdeep Tangri @NavTangri
@hswapnil Our cold climate doesn't help either. Everyone is dry and itchy here in the winter #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
@DrTariqShafi Welcome to #NephJC Dr Shafi!
Roger Rodby @NephRodby
Uremic pruritus is one of those things that Significantly impacts QOL. #NephJC
Joel Topf, MD FACP @kidney_boy
RT @NephJC: Uremic pruritus is unique in that it does not exhibit a lesion prior to the itching sensation. #nephjc
Anthony Provenzano @docpro89
#nephjc Anthony Provenzano PGY3 from vermont, learning by #lurking.
Nephrology Jrnl Club @NephJC
T1: What intervention do you find the most helpful to relieve the itching? Any homemade remedies from patients? #nephjc
Matt Sparks @Nephro_Sparks
@docpro89 Hi Anthony. Glad u got itch to join #NephJC
Swapnil Hiremath, MD, MPH @hswapnil
@NephJC Indeed! And late manifestations terrible https://t.co/5AC0bAkd97 #NephJC https://t.co/4XtqE3Y8M8
Tariq Shafi @drtariqshafi
How do you define uremic pruritus? ESKD requiring dialysis+ itching? #NephJC
Roger Rodby @NephRodby
I see Uremic Pruritus as one those poorly understood uremic symptoms that indicates just how poor RRT is. #NephJC
Navdeep Tangri @NavTangri
@NephRodby imo this and post dialysis exhaustion are the top two complaints #nephjc
Matt Sparks @Nephro_Sparks
RT @NavTangri: @NephRodby imo this and post dialysis exhaustion are the top two complaints #nephjc
Joel Topf, MD FACP @kidney_boy
#NephJC https://t.co/JF1b6E0Ao5
Nephrology Jrnl Club @NephJC
RT @DrTariqShafi: How do you define uremic pruritus? ESKD requiring dialysis+ itching? #NephJC
Navdeep Tangri @NavTangri
@NephJC Very few, based on this paper, I use gaba second line, after emollients and general advise on shower, Pat dry etc #nephjc
Kevin J. Fowler @gratefull080504
@anniebelch @PatientJournal Hopefully in 2-3 weeks I will be able to share via twitter #nephJC
Dr. Carlos Orantes 🇸🇻 @nefrorantes
RT @NephJC: 5 minutes. In the meantime check out this great #VisualAbstract #nephjc https://t.co/ngV6TNPKjh https://t.co/XVfdkU5oW6
Swapnil Hiremath, MD, MPH @hswapnil
T1: suggest lots of moisturing cream; avoid drying soaps; try cocktail of menthol/camphor for soothing effect. Then gabapentin #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
RT @NavTangri: @NephRodby imo this and post dialysis exhaustion are the top two complaints #nephjc
Nephrology Jrnl Club @NephJC
RT @NavTangri: @NephJC Very few, based on this paper, I use gaba second line, after emollients and general advise on shower, Pat dry etc #n
Nephrology Jrnl Club @NephJC
RT @hswapnil: T1: suggest lots of moisturing cream; avoid drying soaps; try cocktail of menthol/camphor for soothing effect. Then gabapenti…
Navdeep Tangri @NavTangri
@DrTariqShafi Yes, but for me it has to be in absence of other diagnosis such as eczema #nephjc
Joel Topf, MD FACP @kidney_boy
My plan of attack is exactly like @NavTangri, moisturize then gabapentin. Titrate up the Neurontin to coma then back it off a notch #nephjc
LBeben @LBEBEN
Could this be a predrome to calciphylaxis? One seems linked to the other; perhaps suggesting a dire prognosis. https://t.co/qSfMCJyAZN
Swapnil Hiremath, MD, MPH @hswapnil
@NavTangri @NephRodby Are ranked even in the @song_initiative priorities right? #NephJC https://t.co/PnCsm7BeSG
Navdeep Tangri @NavTangri
@DrTariqShafi Also it's usually generalized and without a rash #nephjc
Nephrology Jrnl Club @NephJC
T2: Lets look at METHODS. This was a collection of RCTs. Do you think the studies selected are appropriate? #nephjc https://t.co/xanK1SfELI
Annabel Biruete 🇲🇽 @anniebelch
RT @hswapnil: @NavTangri @NephRodby Are ranked even in the @song_initiative priorities right? #NephJC https://t.co/PnCsm7BeSG
Tariq Shafi @drtariqshafi
@NavTangri Great systematic review. Very important to highlight this problem #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
@docpro89 Lurk & learn: always a good plan. Welcome to #NephJC
Cathy Quinlan @KidneyCathy
Exactly my approach. Emollients tend to work well for my pop - parents more likely to apply well??? #nephjc https://t.co/t871YydppG
Swapnil Hiremath, MD, MPH @hswapnil
RT @NephJC: T2: Lets look at METHODS. This was a collection of RCTs. Do you think the studies selected are appropriate?…
Matt Sparks @Nephro_Sparks
RT @hswapnil: @NavTangri @NephRodby Are ranked even in the @song_initiative priorities right? #NephJC https://t.co/PnCsm7BeSG
Nephrology Jrnl Club @NephJC
RT @DrTariqShafi: @NavTangri Great systematic review. Very important to highlight this problem #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
T2: Curious about measures of outcomes. So many excluded & still so heterogenous. Any thoughts @NavTangri & @paulkomenda ? #nephjc
Joel Topf, MD FACP @kidney_boy
Seeing the pathetic state of data for a problem that is so important for patients was embarrassing. As if cardiology ignored angina. #nephjc
Matt Sparks @Nephro_Sparks
Be careful with gabapentin #nephjc https://t.co/HV01fak7O7
Roger Rodby @NephRodby
Anything that goes away with transplantation speaks volumes for etiology. Any data on hemodiafiltration (my new HD holy grail) #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
RT @kidney_boy: Seeing the pathetic state of data for a problem that is so important for patients was embarrassing. As if cardiology ignore…
Michelle Rheault @rheault_m
@NephJC Michelle here late and lurking. COI: haven't read the article. #NephJC
Gates Colbert, MD @DoctorGates
@Nephro_Sparks Gabapentin in ESRD = 😴😴😴😴 #NephJC
Tariq Shafi @drtariqshafi
Need to investigate the causes of pruritus #nephjc
Navdeep Tangri @NavTangri
#NephJC Outcomes were very difficult here, so many scales, we wanted to be as inclusive as possible without jeopardizing quality
Roger Rodby @NephRodby
I think I saw Pruritus data was associated with death, indicating poor clearance for something more important #nephjc
Annabel Biruete 🇲🇽 @anniebelch
@Nephro_Sparks I have no clue about this, but how do pts do with gabapentin and the already high prevalence of fatigue? #NephJC
Swapnil Hiremath, MD, MPH @hswapnil
@rheault_m @NephJC Just see this #visualabstract ;-) #NephJC https://t.co/9i8qD9VjW3
Nephrology Jrnl Club @NephJC
@rheault_m Don't worry Michelle, your personal experience is probably equal N as most of the trials #smalldata #NephJC
Swapnil Hiremath, MD, MPH @hswapnil
RT @NavTangri: #NephJC Outcomes were very difficult here, so many scales, we wanted to be as inclusive as possible without jeopardizing qua…
Navdeep Tangri @NavTangri
@DoctorGates @Nephro_Sparks so, our experience is not that bad, we start at a 100, and have hardly anyone over 300 #nephjc
Joel Topf, MD FACP @kidney_boy
@NephRodby Yes there is a nice section of the manuscript which addressed this #NephJC https://t.co/aIW4S08vAl
Nephrology Jrnl Club @NephJC
The Table 1 is LOOOONG nicely pointing out the 44 trials. Here is the link: https://t.co/Yy5i7rp7eR #nephjc
Navdeep Tangri @NavTangri
@anniebelch @Nephro_Sparks It doesn't seem to worsen it meaningfully, we almost always dose hs, and on occasion remove a sleeping aid and replace w gaba #nephjc
Nephrology Jrnl Club @NephJC
RT @kidney_boy: @NephRodby Yes there is a nice section of the manuscript which addressed this #NephJC https://t.co/aIW4S08vAl
Tariq Shafi @drtariqshafi
"subjective symptom such as pruritus, in which the pathophysiology is not completely understood" Exactly right #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
RT @DrTariqShafi: "subjective symptom such as pruritus, in which the pathophysiology is not completely understood" Exactly right #nephjc
Roger Rodby @NephRodby
@Nephro_Sparks is the gabapentin side effect police chief. Rightly so, VERY BAD DRUG when too much in ESRD, cannot stress enough #nephjc
Tariq Shafi @drtariqshafi
"Large, simple, rigorous, multiarm RCTs of promising therapies are urgently needed" Yes, but how can you treat without knowing cause #nephjc
The Lewises @Lewis_Lab
What are the best ways to collect itch data? #nephjc https://t.co/ZUaiWJdeTi
Swapnil Hiremath, MD, MPH @hswapnil
@NephJC And article is free, #openaccess FTW! @paulphel blog on @AJKDonline also a nice read: https://t.co/QPN1p6B1jU. #NephJC
Tachy, MD @all2tachy
RT @kidney_boy: My plan of attack is exactly like @NavTangri, moisturize then gabapentin. Titrate up the Neurontin to coma then back it off…
Tachy, MD @all2tachy
RT @NephJC: Uremic pruritus is unique in that it does not exhibit a lesion prior to the itching sensation. #nephjc
Nephrology Jrnl Club @NephJC
Reminder of the positive interventions: cromolyn sodium, oral zinc, broadband UV-B light, high-flux HD, high-permeability HD. 1/2 #nephjc
Poyan Mehr @poyanmehr
RT @NephRodby: @Nephro_Sparks is the gabapentin side effect police chief. Rightly so, VERY BAD DRUG when too much in ESRD, cannot stress en…
Matt Sparks @Nephro_Sparks
And this is what introduced me to @NephRodby #nephmadness #nephjc https://t.co/lhsHwyqviH
Swapnil Hiremath, MD, MPH @hswapnil
@paulkomenda @DrTariqShafi Any idea what the putative biomarkers might be? #NephJc
Roger Rodby @NephRodby
HD patients can have other skin disorders, https://t.co/EEnJ8AmFLK Does anyone send the pt to derm? #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
RT @NephJC: Reminder of the positive interventions: cromolyn sodium, oral zinc, broadband UV-B light, high-flux HD, high-permeability HD. 1…
Nephrology Jrnl Club @NephJC
2/2 montelukast, nalfurafine HCL,cholestyramine thalidomide, GLA-crm,capsaicin, pramoxine lotion, “Chinese herbal” crm, acupressure. #nephjc
Nephrology Jrnl Club @NephJC
RT @NephRodby: HD patients can have other skin disorders, https://t.co/EEnJ8AmFLK Does anyone send the pt to derm? #nephjc
Dr Anastasia Susie Mihailidou FAHA FCSANZ @AnastasiaSMihai
RT @NephRodby: HD patients can have other skin disorders, https://t.co/EEnJ8AmFLK Does anyone send the pt to derm? #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
RT @NephJC: 2/2 montelukast, nalfurafine HCL,cholestyramine thalidomide, GLA-crm,capsaicin, pramoxine lotion, “Chinese herbal” crm, acupres…
Roger Rodby @NephRodby
RT @Nephro_Sparks: And this is what introduced me to @NephRodby #nephmadness #nephjc https://t.co/lhsHwyqviH
Poyan Mehr @poyanmehr
Hi folks. Late and lurking. Take goodcare of CKD so you have less of this in ESRD. Haha just joking @S_brimble @hswapnil #NephJC
Swapnil Hiremath, MD, MPH @hswapnil
BTW. If anyone thinks itching is a minor symptom, read this from @Atul_Gawande https://t.co/JOojCrpvmH (long read) #nephjc
Michelle Rheault @rheault_m
@NephRodby I send more patients to derm for hair loss on dialysis than I do for itching. #NephJC
Swapnil Hiremath, MD, MPH @hswapnil
Or this patient commentary from @suziekjos https://t.co/tZ009oSlhS #NephJC
Swapnil Hiremath, MD, MPH @hswapnil
Or just see this videos from the @heartofengland & @HughRayner https://t.co/86AxUBnoaT #NephJC
Swapnil Hiremath, MD, MPH @hswapnil
#NephJC Excellent thought.. https://t.co/V7cu6WtkFJ
Roger Rodby @NephRodby
When I talk to residents re inadequacy of RRT even when we think OK, I refer to Pruritus, restless leg, pericardial dx, Ascites etc #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
@NephRodby These adequacy definitions (+ BP, volume, QoL) way more sensible than Kt/V or urea kinetics #NephJC
Nephrology Jrnl Club @NephJC
T3: Risk-of-bias assessment. How do you feel about bias in this subjective complaint given our data driven specialty? #nephjc https://t.co/KL0McLK1RE
BUY FOLLO₩ERS :xzv @roystaudenmeier
RT @NephRodby: When I talk to residents re inadequacy of RRT even when we think OK, I refer to Pruritus, restless leg, pericardial dx, Asci…
Gail Rae-Garwood @Slowitdownckd
RT @kidney_boy: Seeing the pathetic state of data for a problem that is so important for patients was embarrassing. As if cardiology ignore…
Nephrology Jrnl Club @NephJC
RT @hswapnil: Or just see this videos from the @heartofengland & @HughRayner https://t.co/86AxUBnoaT #NephJC
Joel Topf, MD FACP @kidney_boy
just got home #nephjc
Roger Rodby @NephRodby
@hswapnil Anything BUT KT/V IMO. #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
@paulkomenda @Atul_Gawande Ouch! But true #NephJC
Matt Sparks @Nephro_Sparks
RT @NephRodby: @Nephro_Sparks is the gabapentin side effect police chief. Rightly so, VERY BAD DRUG when too much in ESRD, cannot stress en…
Matt Sparks @Nephro_Sparks
@NephRodby and baclofen #NephJC #StopBaclofenInESKD
Swapnil Hiremath, MD, MPH @hswapnil
@paulkomenda Good Q! Should ask @RitaSSuri #NephJC
Navdeep Tangri @NavTangri
RT @Nephro_Sparks: @NephRodby and baclofen #NephJC #StopBaclofenInESKD
Swapnil Hiremath, MD, MPH @hswapnil
RT @NephJC: T3: Risk-of-bias assessment. How do you feel about bias in this subjective complaint given our data driven special…
Swapnil Hiremath, MD, MPH @hswapnil
@NephJC Unavoidable, I would say. Hard to blind, subjective and poorly defined outcome measures #NephJC
Roger Rodby @NephRodby
@Nephro_Sparks Saw a REAL BAD Beclofen neurotoxicity this week, took days to get better, neuro was worthless, diagnosis by Hx. #nephjc
Nephrology Jrnl Club @NephJC
RT @hswapnil: @NephJC Unavoidable, I would say. Hard to blind, subjective and poorly defined outcome measures #NephJC
Joel Topf, MD FACP @kidney_boy
Kappa -mu opioid activation imbalance is promising. I like mechanisms that get way from the same old thing (ITS NOT PHOS or PTH!) #nephjc
Matt Sparks @Nephro_Sparks
RT @NephRodby: @Nephro_Sparks Saw a REAL BAD Beclofen neurotoxicity this week, took days to get better, neuro was worthless, diagnosis by H…
Joel Topf, MD FACP @kidney_boy
Link on opioid hypothesis: https://t.co/1lpMcCVLny #nephjc
Matt Sparks @Nephro_Sparks
I'll just leave this right here... baclofen.. crazy cousin of gabapentin https://t.co/EkaJRjpmJZ #nephjc
Roger Rodby @NephRodby
@kidney_boy I still hear my pts being told it is their PO4, Agree NOT PO4, PO4 just a marker for some other middle molecule IMO. #nephjc
Navdeep Tangri @NavTangri
@Nephro_Sparks I'll def concur on the baclofen, but our clinical experience as biased as that can be is not the same for gaba #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
This one looks sorta interesting https://t.co/j4I4qfLHXp (my grandma's favourite remedy for everything!) #nephjc
Annabel Biruete 🇲🇽 @anniebelch
@NephRodby @kidney_boy I'm definitely learning today, I thought it was PO4 🙈 #NephJC
Tachy, MD @all2tachy
RT @kidney_boy: Link on opioid hypothesis: https://t.co/1lpMcCVLny #nephjc
Joel Topf, MD FACP @kidney_boy
@hswapnil @NephJC why is it hard to blind if the drug or wave length is placebo-able? #nephjc
Annabel Biruete 🇲🇽 @anniebelch
@NephRodby @kidney_boy Or a possible explanation #NephJC
Nephrology Jrnl Club @NephJC
RT @kidney_boy: Link on opioid hypothesis: https://t.co/1lpMcCVLny #nephjc
Annabel Biruete 🇲🇽 @anniebelch
@hswapnil Or omega 3 FA as pts may have deficiency, showing as dry/flaky skin #nephJC
Matt Sparks @Nephro_Sparks
@hswapnil Swap if this was true... no itching at all in India #Tumeric #CuresAll #NephJC
Swapnil Hiremath, MD, MPH @hswapnil
@kidney_boy @NephJC Hard, not impossible. Creams/ointments have smell, texture for example..#NephJC
Matt Sparks @Nephro_Sparks
he @NephRodby ... do you teach how to Rx itching in fellowship curriculum ... or is it bedside teaching for that one? curious #nephjc
Gates Colbert, MD @DoctorGates
If DM ➡️ Neuropathy ➡️ Gabapentin, then why does Uremic Pruritis affect 46% of HD Pts? This is the treatment of “choice”. #NephJC
Annabel Biruete 🇲🇽 @anniebelch
RT @DoctorGates: If DM ➡️ Neuropathy ➡️ Gabapentin, then why does Uremic Pruritis affect 46% of HD Pts? This is the treatment of “choice”.…
Roger Rodby @NephRodby
@Nephro_Sparks not sure it is formally addressed in Curriculum #RushRenalDoesntRule #nephjc
Swapnil Hiremath, MD, MPH @hswapnil
@anniebelch Ah, is that a sign of deficiency? Didn't know...#nephjc
Matt Sparks @Nephro_Sparks
@NephRodby don't worry... this is not taught in ours either. #NeedToCover #NephJC
Matt Sparks @Nephro_Sparks
where did Gates go @NephJC #nephjc
Roger Rodby @NephRodby
@Nephro_Sparks Although my Fellows get no shortage of my feelings on HD inadequacy and middle molecules and HDF and Tx-ation #nephjc
Nephrology Jrnl Club @NephJC
Time is almost up! Final thoughts on #uremicpruritus ? #NephJC
Michelle Rheault @rheault_m
@NephJC Well, if I've learned one thing tonight, it's that I need to ask my patients about itching. #RaisingAwareness #NephJC
Matt Sparks @Nephro_Sparks
we have to do better with this. more studies needed.... def a huge gap #nephjc
Michelle Rheault @rheault_m
@NephRodby @Nephro_Sparks I want to round with @NephRodby! #NephJC
Swapnil Hiremath, MD, MPH @hswapnil
Will use gabapentin with a bit more confidence & care Need more data! #DreamRCTs #NephJC
Nephrology Jrnl Club @NephJC
RT @rheault_m: @NephJC Well, if I've learned one thing tonight, it's that I need to ask my patients about itching. #RaisingAwareness #NephJC
Tommy Brothers @tdbrothers
@kidney_boy & this 2016 meta-analysis from my institution (by 2 classmates!) supports nalfurafine / k-opioid agonism https://t.co/zenxmtfvOz #nephjc
Matt Sparks @Nephro_Sparks
then you get Tapas #NephJC #RenalRushEats https://t.co/YnlwaJyRSq
Annabel Biruete 🇲🇽 @anniebelch
@NephJC The always adequate conclusion: more research is needed... in terms of cause(s) and effective treatments #NephJC
Swapnil Hiremath, MD, MPH @hswapnil
Thanks to the authors @paulkomenda @NavTangri for an excellent & timely study - and joining in the conversation! #NephJC
Matt Sparks @Nephro_Sparks
The numbers: 195 Tweets. 31 Participants. September 27th 2017. More #NephJC 📊 here https://t.co/jE4yWfFGG8 via @symplur
Joel Topf, MD FACP @kidney_boy
Nice chat. Thanks everyone. #nephjc
Matt Sparks @Nephro_Sparks
thanks to @DoctorGates for hosting #NephJC
Nephrology Jrnl Club @NephJC
RT @Nephro_Sparks: The numbers: 195 Tweets. 31 Participants. September 27th 2017. More #NephJC 📊 here https://t.co/jE4yWfFGG8 via @symplur
Nephrology Jrnl Club @NephJC
RT @hswapnil: Thanks to the authors @paulkomenda @NavTangri for an excellent & timely study - and joining in the conversation! #NephJC
Nephrology Jrnl Club @NephJC
Thanks everyone for your input and commitment to helping your patients. @DoctorGates signing off. #nephjc
Annabel Biruete 🇲🇽 @anniebelch
Good night everyone! Good job, @DoctorGates! #NSMC #nephjc
Roger Rodby @NephRodby
@NephJC @DoctorGates Fun interesting discussion #nephjc
Cathy Quinlan @KidneyCathy
Thanks everyone. I learned a lot. Good job @hswapnil #nephjc
B. Wagner, M.D. @Wagner_Nephro
RT @NephRodby: @Nephro_Sparks is the gabapentin side effect police chief. Rightly so, VERY BAD DRUG when too much in ESRD, cannot stress en…
Arvind Canchi 🇮🇳 @arvindcanchi
RT @NephRodby: HD patients can have other skin disorders, https://t.co/EEnJ8AmFLK Does anyone send the pt to derm? #nephjc
Arvind Canchi 🇮🇳 @arvindcanchi
RT @hswapnil: BTW. If anyone thinks itching is a minor symptom, read this from @Atul_Gawande https://t.co/JOojCrpvmH (long read) #nephjc
Arvind Canchi 🇮🇳 @arvindcanchi
RT @hswapnil: This one looks sorta interesting https://t.co/j4I4qfLHXp (my grandma's favourite remedy for everything!) #nephjc
Arvind Canchi 🇮🇳 @arvindcanchi
RT @NephJC: 5 minutes. In the meantime check out this great #VisualAbstract #nephjc https://t.co/ngV6TNPKjh https://t.co/XVfdkU5oW6
Arvind Canchi 🇮🇳 @arvindcanchi
RT @kidney_boy: Link on opioid hypothesis: https://t.co/1lpMcCVLny #nephjc
Arvind Canchi 🇮🇳 @arvindcanchi
RT @hswapnil: @NephJC And article is free, #openaccess FTW! @paulphel blog on @AJKDonline also a nice read: https://t.co/QPN1p6B1jU. #NephJC
Selina Allu @selinaallu
RT @NephJC: 5 minutes. In the meantime check out this great #VisualAbstract #nephjc https://t.co/ngV6TNPKjh https://t.co/XVfdkU5oW6
Edgar V. Lerma 🇵🇭 @edgarvlermamd
Treatment of uremic pruritus: a systematic review #Nephpearls #NephJC #VisualAbstract by @kidney_boy 👉🏼 https://t.co/mjIxEkkedF https://t.co/Yb27ARK9cC
Joel Topf, MD FACP @kidney_boy
RT @hswapnil: @NephJC And article is free, #openaccess FTW! @paulphel blog on @AJKDonline also a nice read: https://t.co/QPN1p6B1jU. #NephJC
nina juan loa @sabel_205
RT @edgarvlermamd: Treatment of uremic pruritus: a systematic review #Nephpearls #NephJC #VisualAbstract by @kidney_boy 👉🏼…
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